Med Spas NAICS 812199
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Industry Summary
The 8,800 medical spas offer cosmetic medical procedures and traditional spa services under the supervision of licensed healthcare professionals. Operators provide a variety of aesthetic, minimally invasive, and non-invasive procedures that enhance physical appearance. Popular treatments include dermal fillers, neuromodulators/Botox, laser treatments, microdermabrasion, and chemical peels. Medical spas employ trained staff, such as registered nurses (RN), nurse practitioners (NP), physician assistants (PA), and aestheticians, to administer procedures.
Medical Complications
Medical procedures naturally come with some risk of complications, and those performed by nonphysician personnel in medical spas have elevated risks.
Government Regulation
Because medical spas are technically medical practices, operators are subject to regulatory oversight by state medical boards, which determine what constitutes a medical procedure, who can perform the procedure, the staffing ratio of physicians to non-physicians, and what qualifies as on-site/off-site supervision.
Recent Developments
Mar 16, 2026 - Regenerative Therapies Gain Momentum in Med Spas
- Emerging technology and regenerative treatments are reshaping the US med spa industry, according to an American Spa analysis. One of the most significant trends for 2026 is the rise of regenerative aesthetics, which use biologic therapies such as biostimulators, exosomes, platelet-rich fibrin (PRF), growth factors, and stem-cell-derived products to stimulate collagen and elastin production and improve skin quality. At the same time, AI-driven facial mapping and 3D imaging are enabling more precise injectable treatments through microdosing and customized dosing strategies. The report also notes med spas are increasingly integrating wellness services such as hormone optimization, nutrition guidance, and stress management with aesthetic treatments. These trends suggest med spas may expand advanced treatments and technology-driven services as demand grows for personalized, natural-looking results.
- Weakening US consumer confidence may affect discretionary spending on elective beauty and wellness services such as med spa treatments, according to data from the University of Michigan's Surveys of Consumers. The survey reported the Index of Consumer Sentiment fell to 55.5 in March 2026, down 1.9% from February and 2.6% year over year. The Index of Consumer Expectations dropped 4.4% to 54.1, while the Current Economic Conditions index rose to 57.8 but remained 9.4% below March 2025. Surveys Director Joanne Hsu also reported that expectations for personal finances declined 7.5% nationally, with gasoline prices having the most immediate impact on consumers. Inflation expectations remain elevated, with year-ahead inflation at 3.4%, above the 2.3–3.0% pre-pandemic range. For the US med spa industry, which relies on discretionary spending for aesthetic treatments, weaker consumer sentiment and higher inflation expectations may reduce consumers’ willingness to spend on elective services.
- New regulation in Indiana signals increasing oversight for the US med spa industry, according to the Indiana Capital Chronicle. Lawmakers approved Senate Bill 282 by a 43-6 vote in the Senate and 93-4 in the House, establishing new requirements for medical spas. Beginning January 1, 2027, med spas must register with the state Medical Licensing Board and designate a licensed “responsible practitioner” to oversee care and compliance. The law also mandates reporting of serious adverse events and adherence to new advertising rules, while requiring semiannual state reports on drug compounding risks and benefits. The legislation, developed after weeks of negotiations across the healthcare industry, aims to strengthen oversight of compounded drugs such as GLP-1 treatments. For med spa operators, the new rules may increase compliance costs but also standardize practices and enhance patient safety expectations.
- Boulevard’s 2025 consumer survey highlights how Gen Z and Millennials are reshaping the spa and salon industry, with digital engagement now central to client acquisition, according to Salon Today. Some 55% of Gen Z and 47% of Millennials say Instagram or TikTok activity is very or extremely important in deciding where to book, and 20% of Gen Z look to social media first when choosing providers. Convenience is also important: 67% of Gen Z and 64% of Millennials have abandoned spas and salons due to clunky online booking. Loyalty hinges on personalization, with 66% of all respondents citing remembered preferences as essential and 55% expecting tailored add ons or memberships. Service quality remains decisive, as 71% would not return after poor results or negative staff interactions. Communication expectations are also shifting, with 41% of clients expect same day follow ups, and 44% prefer texting. For spa and salon operators, these data points underscore the need to integrate seamless digital booking, personalization, and proactive communication into core business strategy.
Industry Revenue
Med Spas
Industry Structure
Industry size & Structure
The average medical spa operates out of a single location and generates almost $2 million annually, according to the American Med Spa Association. Single-location medical spas employ an average of eight workers and generate just over $121,000 annually. Multi-location operators employ an average of 16 workers at the primary facility.
- The medical spa industry consists of over 8,800 operators that employ 70,000 workers and generate about $15 billion, according to the American Med Spa Association.
- The medical spa industry is fragmented; over 80% of firms operate out of a single location. Multi-location operators average six locations.
- Two-thirds of medical spas have a single owner. Over 60% of medical spas have an owner who is not a physician.
- Large firms include Ideal Image and Laser Away.
Industry Forecast
Industry Forecast
Med Spas Industry Growth
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